Aboukais Rabih, Zairi Fahed, Bourgeois Philippe, Thines Laurent, Lejeune Jean-Paul
Lille University Hospital, Department of Neurosurgery, Lille, France.
Turk Neurosurg. 2015;25(1):158-61. doi: 10.5137/1019-5149.JTN.9057-13.1.
We report the case of a large dissecting aneurysm of the anterior cerebral artery revealed by cerebral infarction in 38-year-old man. The volume and aspect of the aneurysm initially led us to the diagnosis of saccular aneurysm. Given the complete thrombosis, the risk of bleeding was low and antithrombotic therapy was started. Surgery could be discussed later. However radiological monitoring by MRI (magnetic resonance imaging) showed a rapid decrease in volume of the aneurysm. The final angiography found an aspect of stenosis followed by a little arterial dilatation. The diagnosis of dissecting anterior cerebral aneurysm was a posteriori established.
我们报告了一例38岁男性因脑梗死发现的大脑前动脉大型夹层动脉瘤病例。动脉瘤的大小和形态最初使我们诊断为囊状动脉瘤。鉴于动脉瘤完全血栓形成，出血风险较低，遂开始抗栓治疗。后续可再讨论手术事宜。然而，磁共振成像（MRI）的影像学监测显示动脉瘤体积迅速减小。最终血管造影显示有狭窄表现，随后有轻微动脉扩张。事后确诊为大脑前动脉夹层动脉瘤。
